Maxillary Left Central Incisor Tooth Research Articles

MULTIDISCIPLINARY APPROACH OF IMPACTED PERMANENT MAXILLARY LEFT CENTRAL INCISOR AND CANINE

ABSTRACT Background: The permanent maxillary canines have significant incidence of impaction, being the most affected teeth after the third molars, while impacted maxillary insicor is the third most commonly impacted tooth. Objective: This case report is about a multidisclipinary orthodontic treatment of 12 years old female with chief complaint of unerupted anterior upper teeth. Case: A case with unerupted of permanent maxillary left central incisor tooth and permanent maxillary left canine tooth, with Angle Class 1 molar relation and crowded of mandibular teeth. Panoramic and occlusal radiograph showed impacted 21 tooth with severely root dilacerations and impacted 23 tooth in palatal and horizontal position. Case Management: The patient was treated with Edgewise technique. Surgical approach was applied 3 months after levelling and unravelling stage to extract 21 tooth due to its severely root dilaceration and to bond lingual button on palatal side of 23 tooth. Orthodontic traction of impacted 23 tooth was applied a week after being exposed to the position of 21 tooth. Thirteen months after traction, 23 tooth was totally erupted and need 8 additional months to reach its final position. The crown of 23 was reshaped with porcelain fused to metal crown and 63 tooth was left still and got conservative treatment with composite. Conclusion: Orthodontic traction and reshaping of impacted 23 tooth was succeeded to replace the position of 21 tooth with good occlusion and esthetic. Based on OPG after treatment, all teeth were in good root paralleling. The patient was satisfied with good occlusion and esthetic. Keywords: Impacted maxillary canine, Impacted maxillary incisor, Root dilaceration, Orthodontic treatment, Surgical exposure

COMPARATIVE EVALUATION OF TIMING AND CLOSURE OF IMMATURE ANTERIOR TEETH WITH OPEN APEX USING TWO DIFFERENT REGENERATIVE MATERIAL: A CASE REPORT-12 MONTHS FOLLOW-UP

Regenerative endodontic Procedures provide an unconventional approach which relies on the principle of tissue engineering. Pulp necrosis of immature permanent teeth may impair root development and apical closure of root canals. Completion of root development takes around 3 years after eruption of permanent teeth. Management of immature non vital teeth is very challenging for a clinician because teeth may have wide open apex and thin root canal walls that may diverge towards the apex. Conventional cleaning and shaping of the canals and obturation may not be possible because of the lack of apical stop. Since debridement of pulp canal space is difficult, there is an increased possibility of root perforation and cervical root fracture, besides the presence of an open immature root apex jeopardize the apical seal of a root canal treatment resulting in subsequent failure. The purpose of this report is to present the case of a patient wherein apexification of an immature permanent maxillary left central incisor tooth was induced by the Biodentine (Calcium trisilicate cement) and Metapex paste (Calcium hydroxide and Iodoform).

Management of Fractured Endodontically Treated Tooth by Fibre Optic Composite Post-Core-Crown: A Case Report

The restoration of endodontically treated tooth is a subject that has been evaluated and discussed widely in the dental literature. The goal of dental treatment is to provide optimal oral health, aesthetics and functions. The successful treatment of a badly broken endodontically treated tooth depends not only on the success of the endodontic treatment but also on good prosthetic reconstruction. The prosthetic treatment on a seriously damaged, endodontically treated tooth often requires an endodontic post as an additional retention element for core build up prior to crown restoration. This case report presents a male patient of 22 years of age with prosthetic crown fracture of endodontically treated maxillary left central incisor tooth. The following clinical case represents the clinical steps involved in the utilization of a fibre-reinforced composite post-core in a maxillary left central incisor and the subsequent treatment with a full veneer crown.
 Central Medical College Journal Vol 5 No 2 Jul 2021 PP 126-130

Apexification with apical growth and closure using Metapex in a Necrotic Immature Permanent Tooth with Periapical abscess: A Case Report with 16 months follow-up.

The purpose of this report is to present the case of a patient wherein apexification of an immature permanent maxillary left central incisor tooth was induced by the Metapex paste (Calcium hydroxide and Iodoform). It has been reported in the literature of dentistry that apexification treatment in teeth with open apex is more than 40 years old. Apexification procedures had been carried out in different ways using various techniques and materials. Regardless of the type of materials used for apexification method by different authors, apexification procedures appear to be the most subtle and accepted clinical practice in non-vital young permanent teeth. In our case, radiographic examination showed the start of apical closure 6 months after the completion of the treatment protocol. The growth of root end and complete apical closure was confirmed 16 months after the treatment, indicating the implausible potential of Metapex to induce apical growth and closure in young permanent tooth with periapical lesion.

Partial Pulpotomy of Immature Anterior Permanent Teeth with Complicated Crown Fractures: Report of Two Cases

Aim: This report aims to present the application of partial pulpotomy procedures in fractured maxillary central incisors with immature roots. The application of this treatment approach in fractured immature permanent teeth is advantageous but a number of challenges exist particularly when the affected teeth are severed with complicated fractures
 Methodology: Two cases of complicated crown fractures are reported. A 7-year-old male patient with broken maxillary left central incisor tooth and 8-year-old female patient with fractured maxillary right and left central incisor teeth were referred to the clinic after trauma. Partial pulpotomies were performed and MTA was applied directly onto the pulps.
 Results: Hard tissue barrier was observed after treatments.
 Conclusions: Partial pulpotomy is a valid treatment approach in which part of an exposed vital pulp is removed while preserving the vitality and function of the remaining part.
 
 How to cite this article: Sharawy WW, Ahmed HMA. Partial pulpotomy of immature anterior permanent teeth with complicated crown fractures: Report of two cases. Int Dent Res 2017;7:71-75.
 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Management of a Complicated Crown Fracture in a Tertiary Care Hospital

Restoration of a fractured tooth is routinely performed in clinical practice. Many factors are considered in an effort to provide optimal mechanical properties, aesthetics, longevity as well as patient acceptance. In this type of challenging endeavour, main effort should be made to save as much of the coronal tooth structure to increase survival rate of endodontically-treated teeth. This case report presents a 35-year-old male with an oblique complicated crown fracture of maxillary left central incisor tooth. The procedure used to repair the fracture was gingivectomy followed by endodontic treatment. The root canal was filled with a root canal sealer and gutta-percha points. After root canal obturation, the tooth was restored with a glass fiber post and composite resin without additional crown coverage. The restoration made it possible to maintain the remaining tooth structure in a good occlusion and resulted in a high level of patient satisfaction.J Enam Med Col 2017; 7(1): 35-38

Replacement of missing central incisor with single implant-supported fixed prosthesis

Loss of a single anterior tooth causes a major functional and aesthetic concern to the patient. There are different treatment options available for replacing a missing incisor. If the economic status of the patient permits, it is the responsibility of the clinician to explain the benefits of dental implant to replace a single missing tooth. This case report describes the replacement of a missing maxillary left central incisor tooth of a patient with dental implants for better function and esthtics.

Management of a Subgingivally Fractured Central Incisor by Re-attachment Using a Fiber Post

Reattachment of a fractured fragment to the remaining tooth is challenging but one of the best treatment protocol in regards to aesthetics, function as well as patients acceptance. This case report presents a 20 years old male with an oblique complicated crown fracture of maxillary left central incisor tooth. The procedure used to repair the fracture regarding this case included flap surgery with endodontic treatment. The root canal was filled with a root canal sealer and gutta-percha. After root canal obturation, fragments were reattached with duel cure composite resin using a glass fibre post. After 12 months evaluation, clinical and radiographic examinations showed a stable re-attachment, good aesthetics and healthy periodontium. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17983 Update Dent. Coll. j: 2013; 3 (1): 37-40

Treatment of Internal Resorption with Mineral Trioxide Aggregates: A Case Report

Tooth resorption is a common sequel which follows injuries or irritation to the periodontal ligament and/or tooth pulp. The course of tooth resorption involves an elaborate interaction among inflammatory cells, resorbing cells, and hard tissue structures. The key cells which are involved in resorption are multi-nucleated giant cells. Internal root resorptions are usually non-symptomatic and they are discovered occasionally through periapical radiographs, which reveal very defined and regular outlines. Many techniques and materials have been used to fill internal resorptive defects. Among them, Mineral Trioxide Aggregates (MTAs) have satisfactory properties, which include: biocompatibility, a favourable sealing ability, mechanical strength and a capacity to promote a periradicular tissue healing. Thus, a Mineral Trioxide Aggregate (MTA) repair of a maxillary left central incisor tooth with an inflammatory resorptive defect, in the middle third of the root canal, has been reported here.

Gemination, fusion and confusion – unravelling a developmental dental anomaly

Specimens of a tooth and soft tissue were submitted from a 4-year-old boy with a large radiolucency in the left anterior maxilla associated with apex of malformed deciduous left central incisor and the crown of the unerupted permanent maxillary left central incisor tooth. Macroscopically the tooth submitted had a broad crown composed of three fused crowns and a single root mass with three distinct longitudinally-orientated components. The soft tissue was consistent with an inflamed dentigerous cyst associated with the permanent central incisor. Decalcified sections of the hard tissue showed a small amount of enamel matrix remaining after decalcification. The dentine was normal and contiguous across the width of the tooth with a single (widened) pulp space containing vital pulp. Correlation with the radiographs demonstrated that the teeth submitted were of the deciduous series. Taking into account the number of identifiable deciduous teeth present, the specimen submitted must have represented fusion of the deciduous maxillary left central and lateral incisor tooth germs with an attempt at separation (gemination or twinning) of one of these tooth germs to form two separate teeth. Anomalies of the permanent teeth were also identified radiographically. The crowns of the maxillary left permanent central and lateral incisor teeth were aligned horizontally. There also appeared to be gemination of the unerupted mandibular left permanent lateral incisor tooth to give a crown wider than the contralateral tooth. This case appears to represent a rare (and possibly unique) example of fusion and gemination of the same tooth as well as other developmental dental anomalies elsewhere in the jaws.